Medical Billing Specialist (Ophthalmology/Optometry)

#1 PH Workforce Delivering to the US

MedCore Solutions, the healthcare division of Bizforce, is currently seeking dedicated Medical Billing Specialists specializing in Ophthalmology/Optometry billing claims to join our team. We offer an opportunity to work from the comfort of your home while collaborating with some of the largest healthcare providers in the United States. As a Medical Billing Specialist, you will provide outsourced revenue cycle management services to optometric practices. You will manage all aspects of insurance billing and processing including claim review and correction, claim submission, processing and posting of payments, researching claim rejections, aged claims, and submitting appeals. You will be assigned a set of accounts for which you will be the primary interface for managing the customers’ insurance claims.

Responsibilities

• Manage accounts receivables and keep up-to-date records
• Coordinate with healthcare providers and insurance companies for claim submission and follow-up
• Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts
• Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur
• Maintain Medicare bad-debt cost report
• Secure outstanding balance payments for care of employees
• Verify insurance eligibility for patients and ensure timely payment
• Handle denied claims and appeal if necessary
• Reconcile payments and post to patients' accounts
• Maintain compliance with HIPAA regulations
• Handle patient inquiries regarding their accounts

Requirements

• At least 3 years of experience as US Medical Accounts Receivable/Medical Billing Specialist
• Strongly experience in eyecare related billing in an optometric practice setting.
• Knowledge of medical billing and coding practices
• Strong understanding of healthcare billing process
• Familiarity with healthcare insurance plans and related policies
• Experience with HIPAA regulations
• Excellent communication and customer service skills
• Strong attention to detail
• Strong computer skills and experience with medical billing software.
• Amenable to work in any US time zones (graveyard shift)

• Experience in the following system is a PLUS : RevolutionEHR, Officemate, CrystalPM, Eyefinity, etc.

System Requirements

• Processor: Either Intel Core i5 and up or AMD Ryzen 5 and Up
• RAM 8GB and up
• OS: Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). OS should be a legit license
• Internet Connectivity: At least 50 Mbps and should be wired; Back-up connection and Power Supply
• Hard Disk: At least an SSD
• For Mac Processor: Apple M1 chip
• RAM: 8GB and up

Benefits

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Specialized Training

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing. Upon your request our team of certified coders, can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue producing activities.